Senior Payment Specialist Remote - AdventHealth
Maitland, FL
About the Job
AdventHealth Corporate
All the benefits and perks you need for you and your family:
· Benefits from Day One
· Career Development
· Whole Person Wellbeing Resources
· Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Shift : Full-time, Monday-Friday
Job Location : Hybrid, expected to work onsite x days per week; Maitland, FL
The role you’ll contribute:
The Senior Payment Specialist is part of a Centralized Payment Posting team responsible for payment posting activities for the majority of AdventHealth services provided. These activities include posting insurance and patient payments, managing patient refunds and credit balances, patient and insurance correspondence, reconciliation, and other miscellaneous functions. AdventHealth services included in the Centralized Payment Posting activities are hospital, physician, urgent care, home health, hospice, among others. The Senior Payment Specialist is responsible for accurate and timely posting of payment activities.
The value that you bring to the team:
• Receive payments from third party payor lockbox and mail correspondence and post payments to patient claims in the patient accounting system
• Review electronic remittances and resolve electronic posting exceptions and variances, posting payments to corresponding patient claims
• Interpret Explanation of Benefits (EOBs) and transfer remaining patient and secondary insurance liability to the appropriate payor or next responsible party
• Distinguish unidentified payments and post the payments to designated unidentified cash accounts
• Post and process all zero-balance EOBs daily
• Identify and help resolve problems in the payment posting processes and when appropriate, identify and initiate change to prevent future problems or improve existing processes
• Contact payors when additional information is necessary to address a payment posting issue
• Develop and maintain an understanding of Federal, State, local and industry regulations, rules, and standards to help ensure compliance with payment posting and refund requirements (CMS, Federal and State legislation, etc.)
• Assist Centralized Payment Posting Supervisor in responding to inquiries and questions from Payment Posting Specialists; participate in training of Payment Posting Specialists as necessary
• Perform effectively in fast-paced environment and demonstrate strong problem-solving skills
• Achieve and maintain performance consistent with requirements for productivity, quality, and service levels
• Develop and maintain productive team-oriented relationships through individual contacts and group meetings
• Achieve superior customer satisfaction by embracing and exemplifying the AdventHealth service standards
• Perform other duties as assigned
• Available outside of normal business hours for occasional support needs
The expertise and experiences you’ll need to succeed :
· High School Grad or Equiv 2 years experience
Preferred Qualifications :
· Experience in posting insurance and patient payments, cash applications, cash posting for physician, home health and hospital services, including posting check and credit card payments, Electronic Fund Transfer (EFT),
· Automated Clearing House (ACH) and lock box payments
· Understanding of complexity around line level payment posting for physician posting
· Knowledge of HCFA 1500 and UB04
· Familiarity with insurance plans and EOBs
· Experience in reconciling cash
· Experience in reconciliation of payments to physician claims and hospital services
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Accounting/Finance
Organization: AdventHealth Corporate
Schedule: Full-time
Shift: 1 - Day
Req ID: 24034809
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
All the benefits and perks you need for you and your family:
· Benefits from Day One
· Career Development
· Whole Person Wellbeing Resources
· Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Shift : Full-time, Monday-Friday
Job Location : Hybrid, expected to work onsite x days per week; Maitland, FL
The role you’ll contribute:
The Senior Payment Specialist is part of a Centralized Payment Posting team responsible for payment posting activities for the majority of AdventHealth services provided. These activities include posting insurance and patient payments, managing patient refunds and credit balances, patient and insurance correspondence, reconciliation, and other miscellaneous functions. AdventHealth services included in the Centralized Payment Posting activities are hospital, physician, urgent care, home health, hospice, among others. The Senior Payment Specialist is responsible for accurate and timely posting of payment activities.
The value that you bring to the team:
• Receive payments from third party payor lockbox and mail correspondence and post payments to patient claims in the patient accounting system
• Review electronic remittances and resolve electronic posting exceptions and variances, posting payments to corresponding patient claims
• Interpret Explanation of Benefits (EOBs) and transfer remaining patient and secondary insurance liability to the appropriate payor or next responsible party
• Distinguish unidentified payments and post the payments to designated unidentified cash accounts
• Post and process all zero-balance EOBs daily
• Identify and help resolve problems in the payment posting processes and when appropriate, identify and initiate change to prevent future problems or improve existing processes
• Contact payors when additional information is necessary to address a payment posting issue
• Develop and maintain an understanding of Federal, State, local and industry regulations, rules, and standards to help ensure compliance with payment posting and refund requirements (CMS, Federal and State legislation, etc.)
• Assist Centralized Payment Posting Supervisor in responding to inquiries and questions from Payment Posting Specialists; participate in training of Payment Posting Specialists as necessary
• Perform effectively in fast-paced environment and demonstrate strong problem-solving skills
• Achieve and maintain performance consistent with requirements for productivity, quality, and service levels
• Develop and maintain productive team-oriented relationships through individual contacts and group meetings
• Achieve superior customer satisfaction by embracing and exemplifying the AdventHealth service standards
• Perform other duties as assigned
• Available outside of normal business hours for occasional support needs
The expertise and experiences you’ll need to succeed :
· High School Grad or Equiv 2 years experience
Preferred Qualifications :
· Experience in posting insurance and patient payments, cash applications, cash posting for physician, home health and hospital services, including posting check and credit card payments, Electronic Fund Transfer (EFT),
· Automated Clearing House (ACH) and lock box payments
· Understanding of complexity around line level payment posting for physician posting
· Knowledge of HCFA 1500 and UB04
· Familiarity with insurance plans and EOBs
· Experience in reconciling cash
· Experience in reconciliation of payments to physician claims and hospital services
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Accounting/Finance
Organization: AdventHealth Corporate
Schedule: Full-time
Shift: 1 - Day
Req ID: 24034809
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
Source : AdventHealth